| Bahram Pishdad Md, P.c. | |
|
1328 Southern Ave Se Suite 310 Washington DC 20032-4689 | |
| (202) 562-0400 | |
| (703) 255-5378 |
| Full Name | Bahram Pishdad Md, P.c. |
|---|---|
| Speciality | General Practice |
| Location | 1328 Southern Ave Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Bahram Pishdad (PRESIDENT) |
| Authorized Official Contact | 2025620400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bahram Pishdad Md, P.c. 9900 Rustic Rail Ln Vienna VA 22181-5374 Ph: (202) 562-0400 | Bahram Pishdad Md, P.c. 1328 Southern Ave Se Suite 310 Washington DC 20032-4689 Ph: (202) 562-0400 |
| NPI Number | 1801199427 |
|---|---|
| Provider Enumeration Date | 12/21/2010 |
| Last Update Date | 01/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801199427 | NPI | - | NPPES |
| 795007100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | D51520 (Maryland) | Primary |
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